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Eugenia Dabi

Publications and source records attributed to Eugenia Dabi.

5 recordsLinked to original sources
PubMed2002

[Psychotic disorder secondary to suprarenal insufficiency caused by exogenous corticoids. Review of literature and a case report].

OBJECTIVE: Since their introduction as therapeutic agents, corticosteroids have been associated with psychiatric symptoms ranging from mood disturbances to (florid) psychosis. By the time there have been reported psychotic reactions in patients receiving steroids or after sudden withdrawal of long time corticosteroid therapy. We communicate a clinical case in which the exogenous short-treatment with corticosteroids produced an hypothalamic-pituitary-adrenal axis inhibition leads to a psychotic disorder two weeks later. METHOD: Case presentation, clinical and research literature review, and theoretical discussion. RESULTS: There is consensus in the literature that corticosteroids may induce psychotic disorders, but the published evidence documenting so is scant, consisting only of case reports. We did not find any reported case provoked by depot steroids like the one we present. CONCLUSIONS: The literature concerned with the prevention and management of corticosteroid-induced psychiatric adverse effects is rudimentary, and contains large amounts of clinical anecdotes. Due to the lack of formal and validated studies, these reports currently provide the only available direction to clinicians in managing these problems.

Adrenal Insufficiency↗
PubMedDate not supplied

[Suicide attempts in elderly people. Data from the Hospital Italiano de Buenos Aires].

OBJECTIVE: [corrected] The aim of this paper is to analyze some characteristics of 25 patients, over 60, who attempted suicide and were hospitalized in the Department of Psychiatry of a general hospital in Buenos Aires. METHODS: This is a retrospective study using data from the medical records of patients (1999 to 2002); based on a protocol comprising an analysis of attempted suicides, demographic and clinical variables. Patients were diagnosed following the DSM-IV criteria by two trained GPs and were confirmed by MMPI and Rorschach. RESULTS: 72% were women. The average age was 73,8 % were divorced, 20% never married, 32% widowed and 32% married. The most frequent diagnosis was Major Depressive Disorder of late onset followed by Personality Disorder ( 96%; 48%). The most frequent method was intoxication, (68.75% BDZ). Almost half of the attempts were highly severe. DISCUSSION: We may infer that the elderly person who attempts suicide: is female, 68-78 years old, does not have a partner, lives with someone, has Major Depressive Disorder (at least half of them had Personality Disorder) and a clinical disease. This is her first attempt, is alone at home, and she does not advise others. Reduced hearing is a very frequent co-morbidity.

Aged↗
PubMedDate not supplied

[Major depressive disorder in suicide attempts among over 60 years old patients].

OBJECTIVE: [corrected] We analyze the presentation and duration of symptomatology and the treatment received by depressed patients prior to their suicide attempt. METHOD: This is a retrospective study using data from the medical records of patients -over 60- who were hospitalized for attempted suicide in Hospital Italiano, Buenos Aires (1999 to 2002). Diagnoses: DSM-IV criteria (by 2 trained GPs) and MMPI, Rorschach, and HDS. RESULTS: The initial symptomatology was: asthenia, weight loss, anhedonia and hopelessness. 83% with 1 to 6 months of duration. Patients who were under treatment with a psychiatrist (45.8%) were receiving: 7 adequate antidepressant doses (100% with SSRI), 3 insufficient doses (Tricyclic), and 1 no AD at all. 100% were on BDZ. 63% with neuroleptics. Of the remaining 13 patients, 11 were under treatment with a GP. This group were receiving: 2 the right antidepressant therapy (SSRI), 1 insufficient doses of Amitriptyline, and 8 were under no antidepressant therapy (72.7%). 6 of these 8 patients received BDZ and 1 was medicated with Haloperidol. CONCLUSIONS: The entire group taken into account, were not receiving the right treatment for Major Depressive Disorder. The duration of the depressive symptomatology prior to the attempt was long enough to be detected.epidemiological

Age Factors↗
PubMedDate not supplied

[A comparative study of suicide notes in over 65 years old patients (preliminary data)].

OBJECTIVE: To determine, in older suicide attempt inpatients, differences between leaving a suicide note and not leaving it as regards age, sex, marital status, religion, living alone, level of education, present psychiatric treatment, severity of suicidal attempt, previous suicidal arousal, afterwards suicidal arousal, suicidal ideation, hopelessness, depression, dementia, narcissistic personality disorder, physical pain, previous suicide attempt, familiar history of suicide or suicide attempt. MATERIAL AND METHODS: This is a comparative, prospective, observational, transversal, single blind study. RESULTS: We studied 31 patients. Statistical significant associations were found between leaving a suicide note and hopelessness (p=0.03;OR=8.57;IC=1.19-95.33) and severe suicide attempt (p=0.022;OR=8.40;IC=1.28-63.88). DISCUSSION: Although associations between writing suicide notes and hopelessness have not been reported, our results are not surprising because, on one side, the severity of the suicide attempt is more related to hopelessness than to any other depressive parameter and, on the other side, leaving a suicide note is associated to severe suicide attempts. Finally, to feel hopeless and to leave a suicide note are associated to severe suicide attempts.

Aged↗